Westchester Academy Baseball

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2020 WESTCHESTER ACADEMY - WINTER BASEBALL CLINICS

PLAYER INFORMATION

* First Name:

* Last Name:

Player's Cell Number:

* Player's Current Age:

* Birthdate:

School Currently Attending:

Grade:

Player's Email:

* T-SHIRT SIZE:

*****List any specific baseball skill that you would like the coaching staff to work with you on (ex. throwing a changeup):

PARENT/GUARDIAN #1

Firstname:

Lastname:

* EMail:

* Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Cell Phone:

* Emergency Contact:

* Phone:

Relationship to Player:

MAKE CHECK PAYABLE TO: WESTCHESTER ACADEMY BASEBALL
MAIL TO: WESTCHESTER ACADEMY BASEBALL, 29 Morgan Place, White Plains NY, 10605
***FOR CREDIT CARD PAYMENTS - CONTACT ME @ 917-679-3911***

* Payment Options:

WAIVER INFORMATION

I hereby authorize my child to participate in the Westchester Academy Winter Baseball Clinic. I hereby release Westchester Academy and staff, Purchase College, their servants, and employees from liability for personal injuries or property damage sustained by my child in connection with such participation. In case of injury, I authorize the coaching staff to take my child for treatment at my expense. I also understand and agree that all payments are final and are non-refundable.

I/we agree with the above *

* indicates required fields

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2020 WESTCHESTER ACADEMY - WINTER BASEBALL CLINICS